| NPI | 1568573590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4391) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005925) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-12-02 |